16/12/2022
POST-MENOPAUSAL BLEEDING
When a woman stops to have periods for one year, the woman is said to have attained menopause. Any bleeding occurring after the period of menopause is called post-menopausal bleeding.
This bleeding can be in the form of a little spotting or bleeding like me**es.
If you have any such episode of post-menopausal bleeding, you must see a gynaecologist as soon as possible. It is of concern as 1 out of every 10 such patients suffers from uterine cancer. However, we must see the positive aspect that in 9 out of every 10 cases, the cause is usually benign; it is not at all associated with some cancerous condition. One must see a gynaecologist and get investigated. One must give a proper history regarding the use of any indigenous medicine; if the woman is taking hormone replacement therapy, if there is any history of trauma or any record of instrumentation, it should be informed to the doctor.
The doctor will do a local examination to see if there is any local cause of
bleeding. Next, a USG would be advised to see for the endometrial thickness and adnexa.
Endometrial thickness (ET) is the lining of the uterine cavity. If ET is more than 4mm, it is considered abnormal. Then a hysteroscopic guided biopsy would be advised. Hysteroscopically, an abnormal area is identified, and a biopsy is taken and sent for histopathology. The advantage of hysteroscopy is that if there is any polyp, it can be removed in the same setting.
90% of the time, the cause is usually benign. However, it can be atrophic vaginitis(60-90%), hormonal therapy(15-20%), endometrial hyperplasia, cervical or uterine polyp, endometrial cancer, or cervical cancer. After attaining menopause, due to hormonal deficiency, the walls of the va**na are thin, so any abrasion or scratch may lead to bleeding.
So any episode of postmenopausal bleeding should not be neglected.
Sukhmani Hospital
Gurugram
083768 39967
0124 2207267
Sukhmani Hospital Gurugram +91 83768399670124 2207267POST-MENOPAUSAL BLEEDINGWhen a woman stops to have periods for one year, the woman is said to have attai...